Rapid City Crisis Care Center (CCC)

2 Years of Operation

January 31, 2011 – January 31, 2013

CASH CONTRIBUTIONSREGIONAL HEALTH $1,500,000 CITY OF RAPID CITY VISION 2012 $ 500,000 JOHN T. VUCUREVICH FOUNDATION $ 500,000 SD COMMUNITY FOUNDATION $ 45,000PIONEER BANK & TRUST AND THE F.L. CLARKSON FAMILY FOUNDATION $ 30,000 DEANNA LIEN $ 15,000 GWENDOLYN STEARNS FOUNDATION $ 5,000CITY OF RAPID CITY CDBG $ 5,000

$2,600,000

A RESERVE FOR SUSTAINABILITY OF THE PROGRAM HAS BEEN ESTABLISHED BY PENNINGTON COUNTY WITH THE GOAL OF $1MILLION, AS OF 2013, $971,705 HAS BEEN ALLOCATED.

FUNDING PARTNERS

FUNDING PARTNERS

IN-KIND CONTRIBUTIONS HUNDREDS OF HOURS OF STAFF TIME HAVE BEEN INVESTED IN THIS PROJECT BY OUR COLLABORATIVE PARTNERS. WE TRULY THANK YOU FOR YOUR COMITTMENT AND DEDICATION TO THE SUCCESS OF THE CRISIS CARE CENTER! THANK YOU TO RAPID CITY REGIONAL HOSPITAL FOR THE DONATION OF SPACE AT REGIONAL BEHAVIORAL HEALTH CENTER!

Number and Type of CCC Staffas of January 31, 2013

• Medical Director Dr. Mark Garry, MD• Clinical Director Randy Allen, CSW-PIP, QMHP• Program Manager Teri Corrigan, CSW, QMHP• QMHP’s (1 per shift) 3 Full Time, 1 Part Time• EMT’s (2 per shift) 6 Full Time, 1 Part Time, 2 PRN• Case Management 1 FTE (contracted with PCHHS)

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan0

15

30

45

60

75

90

105

120

1

12

45

62

55 53 55

61

5054

60

54

6163

8076

86

63

74

90

75

104

97100

110

Number of CCC Clients by YearTotal 1st Year = 623

Total 2nd Year = 1,018

1st Year2nd Year

1st Year Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Avg0

2

4

6

8

10

12

14

10.29

11.49

11.18

10.74

8.11

10.3

8.48

10.14

8.81

10.35

8.96 7.87

9.52

9.71076923076923

Average Length of Stay for Initial Observation2 Years of Operation

Hours

All clients entering the CCC, receive a Medical Triage exam.

Med

ical

Tri

age

MH

/Cri

sis

Asse

ssm

ent

Obs

erva

tion

Chem

ical

Dep

ende

ncy

Scre

...

Com

mun

ity C

ase

Man

age.

..

Psyc

hiat

ric

Cons

ult

Refe

rral

to C

omm

unity

Pro

...

623539

398

142 12122

157

1018931

575

238173

41

351

Total Number of Services Provided by CCC 2 Years of Operation

2 visits 3 visits 4 visits 5 visits 6+ visits

126

39

219

16

Number of Clients Returning to CCC for >1 Crisis Visits Since Opening

RCPD

RCRH

ER

Self

PCSO

BMS

Fam

ily/F

rien

d

Med

ical

Doc

tor

Oth

er L

aw E

nfor

cem

ent

Com

m. C

ouns

elor

USA

F

Oth

er

Unk

now

n-205

305580

105130155180205230255280

193 185

81

25 2136

10 4 14 13 17 20

211

263

192

38 4776

22 1029 35

91

1

Referral Sources for Crisis Care Center 2 Years of Operations

1st Year

2nd Year

RCRH BHC RCRH ER Detox Jail HSC0

100

200

300

400

500

600

333

174

23 8 1

534

251

48

8 0

Total CCC Diversions2 Years of Operation

Diversions are tallied based on the alternative that the referring entity would have chosen had the CCC not been available.

Diversions are tallied based on the alternative that the referring entity would have chosen had the CCC not been available.

Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec0

5

10

15

20

25

30

35

40

201020112012

Percentage of Patients with less than 24 hour stay in Inpatient Unit

Rapid City Crisis Care CenterEmerging Trends

Number of Clients at CCC

• Average Monthly Census for admissions into the CCC over the first 6 months (Feb - Jul) = 73.6/month

• Average Monthly Census for admissions into the CCC over the last 6 months (Aug – Jan) = 96.0/month

• An increase of 30%

Referral Sources

• Average number of clients referred by RCPD in first 6 months (Feb – Jul) = 13.8/month

• Average number of clients referred by RCPD in last 6 months (Aug – Jan) = 21.3/month

• An increase of 54%• Average number of clients referred by RCRH - ED in first 6

months (Feb – Jul) = 20.5/month• Average number of clients referred by RCRH – ED in last 6

months (Aug – Jan) = 23.3/month• An increase of 14% (Note: 42% increase year over year)

Impact of CIT Training

• Average number of referrals from CIT trained officers for the first 6 months (Feb – Jul) = 10.8/month

• Average number of referrals from CIT trained officers for the last 6 months (Aug – Jan) = 17.8/month

• An increase of 65%• Approx. 73% of all law enforcement officers trained in CIT

Diversions Year Over Year

• Jail diversions: 8 in yr 1 / 8 in yr 2 = 0% change• Detox diversions: 23 in yr 1 / 48 in yr 2 = 108% increase• Emergency Department diversions: 174 in yr 1 / 251 in yr 2 =

44% increase• Behavioral Health diversions: 333 in yr 1 / 534 in yr 2 = 60%

increase

Suicide by Year from 1998 to 2012

17

98

1714

1315

21 20

13

24 23

28

18 19

Goals for Year 2• Increase in CIT trained officers to greater than 70%

– Results are 73% trained• Increase diversions by 25% from the 2011 diversions:

– ED goal 217 actual 251 increase of 44%– RCRH BHC goal 416 actual 534 increase of 60%– Detox goal 29 actual 48 increase of 108%– Jail goal 10 actual 8 no change from previous year

• Increase census in Crisis Care Center by 50% to 950 visits – Actual visits 1018 increase of 60%

Goals for Year 3

• Focus on sustainability by– Move the location of the Crisis Care Center– Advertise program to the public– Obtain approval for reimbursement from SD

Medicaid for crisis counseling– Increase reserves with Pennington County to 1

million to help with transition after year 3– Have brought together a community group to

address the issue of Youth Crisis

Regional Health

• The Regional Health Board of Trustees in the April 2013 meeting approved funding for the Crisis Care Center of $500,000 for the third year

• This completes the Regional Health 3 year commitment to the Crisis Care Center for a total support of 1.5 million

• Thank you to all of the agencies for supporting this community initiative to improve mental health care